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	Misura di Attivazione del Paziente	Behavioral Regulation in Exercise Questionnaire
Campo	Comportamenti di salute	Comportamenti di salute
Famiglia	Process / pipeline	Process / pipeline
Anno di origine	2004	2012
Ideatore	Judith H. Hibbard, Jacqueline Stockard, and colleagues	Paul M. Wilson, Wendy M. Rodgers, and colleagues
Tipo	Self-report questionnaire	Self-report questionnaire
Fonte seminale	Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M. (2004). Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Services Research, 39(4), 1005-1026.	Wilson, P. M., Rodgers, W. M., Loitz, C. C., & Scime, G. (2012). 'It's not about winning. It's about fun': Reconsidering the hedonic and eudaimonic contributions of physical activity across the lifespan. International Journal of Sport and Exercise Psychology, 10(3), 168-185.
Alias	PAM, Patient Activation Scale	BREQ-3, BREQ
Correlati	3	3
Sintesi	The Patient Activation Measure (PAM) is a 13-item self-report questionnaire developed by Hibbard and colleagues (2004) to assess the degree to which patients understand their role in managing their health, have confidence in their ability to engage in self-care, and take action to manage their health and prevent disease. PAM conceptualizes patient activation as a developmental process moving through four sequential levels: Level 1 (Passive) – the patient is disengaged, lacks understanding of their role, and is unwilling to take action; Level 2 (Aware) – the patient understands their role and importance of health behaviors but lacks confidence or is uncertain about ability; Level 3 (Taking Action) – the patient is taking steps to engage in self-management but may be inconsistent or uncertain how to maintain behavior; Level 4 (Maintaining Behavior) – the patient actively maintains self-management behaviors and prevents relapse. The PAM is widely used in primary care, chronic disease management, health insurance population health programs, and health services research to identify patients at risk of poor outcomes and to evaluate interventions targeting patient engagement.	The Behavioral Regulation in Exercise Questionnaire—3 (BREQ-3) is a 24-item measure developed by Wilson and colleagues (2012) to assess the type and quality of motivation underlying exercise behavior. Grounded in Self-Determination Theory, the BREQ-3 measures six regulation types positioned on a continuum from amotivation (no intention to exercise) through external regulation (exercising for external rewards or pressure), introjected regulation (exercising due to guilt or internal pressure), identified regulation (exercising because you value the benefits), integrated regulation (exercising because it aligns with your identity and values), and intrinsic motivation (exercising for enjoyment and interest). The BREQ-3 is widely used in exercise science, sports psychology, and health behavior research to understand why people exercise and to predict long-term exercise adherence.